Collagen is the skins most important protein and is found in tendons, bones, cartilage, and skin. It is present in the body from birth but its amount starts decreasing after a certain age. It is responsible for the skins elasticity. The facial rejuvenation surgery procedures are used to boost collagen to fill plump lips, wrinkles and improve skin appearance.
Facial rejuvenation is a combination of procedures to get a youthful appearance by restoring facial features. These procedures are both surgical and non-surgical. Facial rejuvenation surgery types include eyelid lift, facelift, brow lift, neck lift, and chin lift. Non-Surgical facial rejuvenation includes chemical peels, dermal fillers, laser resurfacing, radiofrequency, photo rejuvenation, collagen or fat injections, and more.
These procedures vary in depth of treatment and invasiveness. All the procedures improve the skin appearance by targeted procedures and facial restructuring. Non-surgical procedures target depths of facial structures and treat few facial concerns such as scars, hyperpigmentation, wrinkles, and more. Though there are several facial rejuvenation surgery types, these days fat or collagen injectable fillers, known as soft-tissue augmentation, are widely used. The reason behind it is the lower risk of allergic reactions.
Your doctor will carefully plan and select procedures for facial rejuvenation as per your needs. If you need volume enhancement for facial rejuvenation, the doctor may choose a fat injection. If improving skin appearance is the goal, then collagen injection will be given.
01. Fat injections - With the help of a small needle, the doctor will extract fat from other areas of the body and then transfer it to the desired region. It is the preferred choice of treatment as it involves injecting own fat, which further reduces the risk of reactions. This procedure is also known as microlipoinjection and is used to recontour the face, reduce crows feet, frown lines, smile lines, and more. It is also used to add volume to depressed scarred areas of the body. It is not permanent and requires effective maintenance. One can consider fat transfer injections if facial areas are sunken, want permanent correction, improve body contour or improve scars.
02. Collagen Injections - Collagen is a natural protein present in the body and supports the skin. It can be extracted from animal-like pigs or cows, or from the patients own tissue. Doctors prefer extracting it from the patients tissue to reduce the reactions. There are two types of collagens:
2.1. Bellafill - is a type of collagen filler approved by the FDA (Food and Drug Administration) to treat scars. It is made of bovine collagen, PMMA beads (polymethyl methacrylate), or microspheres.
2.2. Sculptra - is a collagen stimulator and is made of poly-L-lactic acid (PLLA). Its results last for 2 years or until PLLA is broken down.
Collagen Benefits
01. Stimulating the bodies collagen production.
02. Improving the appearance of hollow scars.
03. Plump up the lips, adding volume.
04. Reduce wrinkles from nose, eyes, mouth, and forehead
Collagen Side Effects
The doctor will do a skin test and monitor it for several days before injecting collagen so serious reactions are rare. However, there can be collagen side effects, such as:
01. Skin redness
02. Skin discomfort
03. Infection at the injection site
04. Skin rashes
05. Scars
06. Lumps
07. The wound on the face
Before Procedure
The doctor will examine your health conditions and take pictures of your face. It is important to discuss allergies, medicines, and skin products you are using with the doctor. Moreover, you need to avoid aspirin and other blood-thinner medicines. Remove all makeup before the procedure. The doctor may use local or topical anesthesia before the collagen or fat injections procedure. Additionally, stop smoking at least 6 weeks before the procedure and stay hydrated.
During Procedure
The face will be cleaned with an antibacterial cleanser and anesthesia will be given to numb the area. Marking with a pen is done on the targeted areas. There are several ways to inject collagen:
01. Serial Puncture Technique - Small punctures are made with the needle along the targeted area and a small amount of collagen or fat will be inserted at all puncture points.
02. Linear Threading - The full-length needle will be inserted in the targeted area and collagen or fat will be injected slowly through the needle.
03. Fanning Technique - The needle is introduced at a single site and is passed several times in different directions without retrograding from the skin. The procedure takes only a few minutes and you can go home after the procedure.
After Procedure
Once the procedure is done, medical staff will clean your face and apply ice or soothing ointment. However, you may feel some pain once the anesthesia wears off. Your face will be swollen and bruised and signs will resolve within a few days. If you are concerned about bruising and swelling, talk to your doctor.
When to Undergo Facial Rejuvenation
You can consider facial rejuvenation if you are in good health, physically and mentally. The procedure is not advisable if you have any medical issues. This procedure is the best option if you want to:
01. Reduce the signs of aging and get smooth and youthful skin
02. Your neck and face skin is sagging or losing volume in cheekbones
03. Contour jawline
04. Eliminate crows feet at the corners of eyes
05. Get rid of frown lines on the forehead
06. Reduce fines lines around the mouth
07. Get rid of droopy skin on upper eyelids and eyelid bags
08. Reduce dark circles under the eyes
Recovery from Facial Rejuvenation Surgery
Your doctor will discuss how long it will take to resume normal activities. He or she will give detailed instructions on post-procedure care, including skincare, signs of complications, normal symptoms, and more. You are allowed to apply makeup after 4 to 5 days of the procedure.
Empower your Health with the Expertise of Leading Medical Professionals.
Dr. Pramod Subash
Department of Cardiology & Cosmetic Surgery
Consultant Craniofacial Surgeon
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